Obituaries

Gloria Wesner
B: 1942-02-11
D: 2017-11-21
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Wesner, Gloria
Mary Menzies-Immel
B: 1931-11-08
D: 2017-11-19
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Menzies-Immel, Mary
Melvin Diener
B: 1928-07-15
D: 2017-11-17
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Diener, Melvin
Anne DeVoe
B: 1922-11-28
D: 2017-11-17
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DeVoe, Anne
Nadine Hobart
B: 1943-12-06
D: 2017-11-17
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Hobart, Nadine
Lorenzo Bosquez
B: 1940-12-16
D: 2017-11-17
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Bosquez, Lorenzo
David Martin
B: 1933-02-13
D: 2017-11-15
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Martin, David
Douglas Thiele
B: 1948-04-26
D: 2017-11-14
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Thiele, Douglas
Steven Krueger
B: 1954-05-21
D: 2017-11-10
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Krueger, Steven
Phillip Broege
B: 1934-08-05
D: 2017-11-08
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Broege, Phillip
Carolyn Bollom
B: 1940-08-27
D: 2017-10-30
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Bollom, Carolyn
Ruth Grimm
B: 1922-05-18
D: 2017-10-28
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Grimm, Ruth
Audrey Anderson
B: 1933-07-15
D: 2017-10-25
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Anderson, Audrey
Barbara Kametler
B: 1940-07-09
D: 2017-10-22
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Kametler, Barbara
Robert Morris
D: 2017-10-19
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Morris, Robert
Mark Lewis
B: 1961-02-21
D: 2017-10-17
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Lewis, Mark
Adam Marlett
B: 1971-03-17
D: 2017-10-13
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Marlett, Adam
Virginia Ivansek
B: 1924-01-11
D: 2017-10-11
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Ivansek, Virginia
Mary Edmonds
B: 1928-07-11
D: 2017-10-09
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Edmonds, Mary
John Frank
B: 1934-04-28
D: 2017-10-08
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Frank, John
Deborah Bauer
B: 1952-03-15
D: 2017-10-08
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Bauer, Deborah

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Oshkosh, WI 54902
Phone: (920) 236-7750
Fax: (920) 236-7746

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I. Biographical Information
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded In Death
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

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